Kuwait Undertaking For Issue Of Birth Certificate (Page 3 of 4) in pdf

Kuwait Undertaking For Issue Of Birth Certificate Page 3

UNDERTAKING FOR ISSUE OF BIRTH CERTIFICATE

(for family member)

I, the undersigned (father/mother of the minor child)_________________________

______________________________________

holder of Passport No.

___________

issued at

_______________ on _____________

hereby state on oath the

following :

1. My son /daughter Mr./ Ms. ____________________________________________

_______________

was born on

(date)

_______________________________________________

He / She was born at

(place)

I solemnly declare that the birth certificate of my son / daughter submitted by me in

support to my undertaking is a genuine document. I hold myself fully responsible for the

authenticity of the document mentioned above and would be solely responsible for the

consequences should this document be found to be untrue.

Further I indemnify the Embassy of India, Kuwait in case the document (s) furnished by

me are not found to be genuine at any stage.

I hereby request the Embassy of India, Kuwait to issue a birth certificate in respect

of my son / daughter which is a requirement of the Government of the State of Kuwait to

enable me to obtain visa etc.

Arabic text of proposed certificate is as per proposed certificate in English (Undertaking to

(The

be given only by those bringing pre-prepared texts of certificate not prepared in the Embassy.)

proposed certificate, undertaking etc. should be type written only)

Place : Kuwait

Date :

Signature as in Passport

Name of applicant :

_________________________

Local Address :

_________________________

Contact telephone No.

_________________________

Civil Identity Card No.

___________________________

Kuwait Undertaking For Issue Of Birth Certificate Page 3